Marco J Bonta, MD | |
3555 Olentangy River Rd, Riverside Trauma Services Suite 13617, Columbus, OH 43214-3912 | |
(614) 566-2540 | |
(614) 566-6692 |
Full Name | Marco J Bonta |
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Gender | Male |
Speciality | Surgery |
Location | 3555 Olentangy River Rd, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295704161 | NPI | - | NPPES |
0700469 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 35049331 (Ohio) | Secondary |
208600000X | Surgery | 35049331 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Marco J Bonta, MD 5450 Frantz Rd Ste 360, Dublin, OH 43016-4141 Ph: () - | Marco J Bonta, MD 3555 Olentangy River Rd, Riverside Trauma Services Suite 13617, Columbus, OH 43214-3912 Ph: (614) 566-2540 |
Sebastian Vincent Demyttenaere, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214 Phone: 614-293-3230 Fax: 614-293-4030 | |
Dr. Robert Michael Dorman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Ccpr, Columbus, OH 43205 Phone: 614-722-0449 Fax: 614-355-6229 | |
Priya Harakh Dedhia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Kenny Rd, Columbus, OH 43221 Phone: 614-293-7171 Fax: 614-293-3465 | |
Dr. Lauren Audrey Licata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Lindsay Olivia-lee Stepp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1581 Dodd Dr Fl 1, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Michael Ryan Douglas Farrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 E Main St Ste 220, Columbus, OH 43215 Phone: 614-544-9670 Fax: 614-544-9671 | |
Patricia S Choban, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Carmel Mall, Suite 380, Columbus, OH 43222 Phone: 614-228-0768 Fax: 614-545-2997 |